Permit , �
C ITY OF TIGARD MECHANICAL PERMIT
,r� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00323
�^ r�I DATE ISSUED: 6/9/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 114 BA -08300
SITE ADDRESS: 16360 SW WOODCREST AVE ZONING: R -4.5
SUBDIVISION: COPPER CREEK STAGE 2 LOT: 023 JURISDICTION: TIG
Project Description: Installation of A/C unit, replacement of furnace.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ROSE, LYLE E AND BETTY B Description Date Amount
16360 SW WOODCREST DR
TIGARD, OR 97224 [MECH] Permit Fee 6/9/2005 $72.50
[TAX] 8% State Surcha 6/9/2005 $5.80
Total $78.30
Phone: 503- 620 -6859
Contractor:
A -TEMP HEATING & COOLING
16000 SE EVELYN ST
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Phone: 503- 650 -9602
Reg #: LIC 71878
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
-
Issued By: Permittee Signature: "Ile_
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business cay.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FlNOM :I TEMP FAX NO. :5035572990 Jun. 09 2005 04:22PM P2/3
U
f !bq D FOR + - IL Ohhl('1, L.ItiF: UNIX Mechanical Permit�ll -� eat.
R ltte/B •d / - l r Permit No..k li C,... a a) • 2 i ' • City of Tigard nAte/ey:
13125 SW Hall Blvd., Ti ard, OR 972231 I p f Plan Review Other Permit.
Phone 503 639.4171 Fax: 503.598.1960 v ®� 2��� 'r AkiiP,:iii 1 r ` j lei y` Dote Ready/By; 21 See Page 2 for
I ntern e
Inspection Line 503.639.4175
CITY Noti11ed/Method Supplemental Information
t www c {•tigard.or,us OF TIGAR
V 7r 1f!!)d , ul ill! I rrnr '01 rl M' r"7 h',9 }
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PEN tFI{i u• .'t(,�!i�•1 {i.!t� I . r f ' , �1 +jf(!(j(��(,�.jt.�� r ( +�'� {�Y �r{ ,l allit D(. ,� J) I r l ! ! r ? !1', 11 �1�` i!"!5 lilfil rl jl � l {"i ?`�d �1 )1 �ru :r.1191 t f �b ff ! 1, 4
1716* �4� ���' a;l ?'��'id.1tR(..L. till )�1r`jYr;V7(j110�. ^01.� �IFT�i�ls11 i�. �.• ,rl ?IV!!!•!r! rf.rlw Ihldcr ,, r.l ll.r,r,r r f.r Jl,...r V
Ir,. ,.. �f, Mechanical permit fees ■ we based on the value of the work
❑ New c0tlstnletion i Addition/alteration/replacement performed. �{ � materials. eJcuipmenl, labortovcrrhend,� fall
and profit,
❑ 0 Demolition ,.; Value. $
rt '} •; lt ^• a., •• lcv ; :iro na F: "�': + "T' i { r ; ^•fir .S iti�L4tl f):�d�7 )f 71{ ( jj�,l „+ }� ,,�jl��r . 1 • rya. +F,}n�A. Iresh .)» tn! { u 1n,((;II�7.r . 1,Qi . iC,c,.
!. , ,rf r t tx C4: ? 1 6,4 r � al r :13 . l % ,,�, ' ,MX . ; R ,'41. •, 1JC1.�l46 -(t:9 1(111f41/!! t ) !rzli7,�yi t rd gflh'i`t' r1` v 1. { 1 }. 'j'F �lizr' .,
j� t�t f115J �s l jh; {t h ° if ja zr fv,.rt a a crc ) d . , .: uLf_•,;..1r Vin,: ',MX.; t , f r ;: J l ) � 1 raa t 1 nXtr ., /5411/ 4, `� � ,�:/A6i ,.f
1f ,i:n.s.k J rr ..•t( «`:('Ms.�:i?1 b !. 7.toJ,,.3t t w.rt:,devl(str
Mar and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building . For special information use checklist,
Other: Description Qty. Ea. Total
• Multi family ❑ Master builder 0 P
f. I P x @ n�R I r rr 1 / I f IJ) / r't iPi riJA �) �•/ Y�,it {Plfip? ?j),51 ,i(1) !Y I{ !� u ?I� Hcatln: coati:
a Ct' it Vtly)�ryj�tJ { 1'w }�! 17 Z t �r t R, p 1 r Ll o i ,l 7 J +;I %.. �. ? „t 0 1
a'1111a it n tlGi)ltrtlANi 1�) � L�iti��l��. .1.inC l�.t.i. . 6, 1 '���d�rla ,` ! , 15. � .)1il:itr�f Ti •%:^ Nr He conditioning or heat pump r
f _ ) !LzJ [j L ._.. `•_' �1 J -.tares ni or _• pump ( 14.00
Joh site address. lQ �j �.Q C � �
f� Ti • 'tines I t't '''O : I ducts/vents t 14
City/State/ZIP: -- 1 - 1 L t'y l Furnace 100,000+ BTU (ducts/veote 17.90
Suite/bldg. /apt no.: Project name: • i )?5c,,. Gas he .um• 14 00
null work 14.00
Cross street/directions to job site: H dronic hot water systcm 14,00
Residential boiler (radiator or 14 00
hydronic)
Unit heaters (fuel -type, not electric). 10.00
in -wall in -du sus ended etc.
Fluc/vent for any of above 1000
T — Lot no.: Other: 1000
Subdivision:
Other fuel appliances
Tax map /parcel no.: � 10.00
re'+1•U1n plP(7;'rnx' +r pl ,1 1 alt n rtnt �,m �1�f rl ff t!����,�r t '{��9 {r1 •)• H(� tef WA llCatLY
! b f � , }I�{y r :;,3h'f(•.IJ, ' tt'i J Y!l �ji (. `�r�"�"IE A � pp '� 16 �,i�r.r°!_l +fie �/, h: 1� 1��)Y� {ltillj; �li l.l.l.t.ft�il9 Wn • fireplace 1000
p;ytl''ff,QYRr7frli �' `r!(r L r,e i� »++ �, t u R 7i 1e )lfflT?,R. +�
f _� (� 4() a��• Flue vent for water heater or gas .10.00
(� �”' �� . / T fre•lace
41 � l.o:li: ter as
10.00
Wood pellet stove 10.00
Wood fir •lacc/insert F 10.00
Chimney /liner /flue/vent 10.00
41 . 1 .e-sire ems, ,J, 0 el rte ( 1 t e ,n ; 1' 1,`” ri -• I; p:;)gr • Lime` t. i ir(It j v s 1 11 I g ip 10.00
5r1 'u lr�l !�(.7 1 d 6 �sf ,1 ){ r 5 i i1",',,i l ,A 6 , l �ti i�Ij 1 , �` ) t� l � ) 'l ,�iif 1 r r 1 1 ), jE 1 1 ` 1 ��➢ ) N i 1 t' zp W F r O t her.
:.,.,, �%�'/r4 /� r .nA Slr -I.1;13 If r r r i.Il-,, ! .,,1CF a!t . i .. r.l 1, ril a 7, 1.l.. o).• u.,fMrr;�.7 MU L<. I , I. 1cr 1 l • ; 1 _ .--r -
p Environmental exhaust and ventilation
Name: If ��cTt - Range hood /other kitchen
i cduipmcnt 10.00
Address. - Clothes dryer exhaust 10 00
City /StatcJ7.11': C Single -duct exhaust (bathrooms, 6.80
1 Fax: C ) toilet compartments, utility, room
Phone: ( Jl (0,- � ` tt:" o ? 5 I � x�rr t1. fatLS 10.00
1 ,, (r, fl+ I r'xux 4 g l rZrN r I : /Cfaw1A aCC
c i r ' ' t 'M1 ,Vr , r• r r ;t�1 I! r lt 1 t�ri ' t U, Z � q 1 r r I t ZZN i '1; ,' ��
�. �i ' r!v'i�` Ira�!! � I' I # U? 1ilC i hl7 i � . a� � t ,',:? �rl,` x • d� 10
�;1JrYrtfftrO'i4(b L ,� Fi'•.d, rrn Emit er il!.•.�Yi Mf Other: —
Business name: ----\-----e. - CtL•' D _ Fuel 'ping_
55.40 for first four $1.00 (or each additional
Contact Hume: Furnace, etc.
Address /- ,) l G - -"
--_ 1}'iC` E as heat um• -
Wall /sus•ended/unitheatcr
City/5utte/LJP. Water heater
Phone: ( ) l_ i �ax: ' ( ) - Fire.luce
E -mail:
Ran � e �
tl r v tt ♦`:1 +I• NY'!r'r
I vl d ra •1r1u u s un„ r7t h 1 t ��0',1 i 1k�f l } ) 1 t r d'f SIN �.) �� 41 tl� (11i� Barbecue
p2�Q�L�yr1I; it �11,fy(�i ;NRI Jt W T f �} 7 i1 1 li n �{( ,Iy�<I !( lh ! II r !'i1 r rr::Y;ci�rlhrar.r.crlrilri. 4 g, ,, „-¢�11{I r,gl _ _
fv+'u- !!�!t[[Iiilllli:th i![) P•:)'l,'I,�lf)ri}�Y,)7i,,it;fy. nP.�w y411:n�,r' i.l, Rlr.1, il[,u ..l.o v.t 1. tiG Clothes d Cr • as ' �i'r'r:,GO hl�: � , ,; . t
name; "�c -c2� � ' Ot her: , ) °,' ,t 1
Business i ..L.ry Y ,7 -. e G_"� �i -4 , I t rt r:r ar t n r r�,''r�j( 1 tr•! h 711 I • { ) '� .�(V t.1q +0.
I'.. „.. r � „ +jti . ,„ , 1 1 , ; rtvli,,1 .. , .. 7,' , '
I r •' U C. f,f,l:i /:.r,iLr:�,r. PPl m l.:J:n,a,1' 3 ,g ' .' . r. . ...C.; ! ” 11 11/'
Address: ?'t t 1-Q_Q. t +Ga .c Subtotal 7 ri • •
-
riry /S tat c/2TTC \Ct C = ti. in VY �9-�� ? �(� C _. L� Minimum permit fee $12,50)
L Fax: t at
C.lt 0 Pl an review (25% of permit fee)
Phone (C,- (p (j �P �� 51 State surcharge (R% of • can't fee) r
CCB Tic.: f� (;, �1 L. TOTAL PERMIT FEE ,. .
' • V This permit application expires if a permit is not obtained within de
days after It has been accepted as cempicte.
I
Authorized si scut¢: s Pee methodology set by tail- County Braiding industry Service Board
r , • not name: �` l L � _ i �►� Hate: 2� 1 1 �
440-4617T (I 1 /071COMMM1tt)
Fi9GM : F.-TEMP FAX NO. : 5035572990 Jun. 09 2005 09 06AM P1
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4-Temp Heating and Cooling
iic Plan
Prepared by: Dalo: lolvet/05
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Address: _lk,3 .....6.0
customer Phone.• 0 _ 3 ii2,0k5534-,
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CITY OF TIG'ARD .
BUILDING DIVISION PERMIT #: MEC200rs00i2i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2005
Phone: (503) 639 -4171
AI" jil ,l
Inspection Requests (24 Hrs.): (503) 639 -4175 ":_..
INSPECTION WORKSHEET FOR DATE: 8/3/2005 TIME: 7 PAGE: 72
SITE ADDRESS: 16360 SW WOODCREST AVE CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 2 LOT #: 023 TYPE OF USE:
PROJECT NAME: ROSE
DESCRIPTION: Installation of NC unit, replacement of furnace.
OWNER: ROSE, LYLE E AND BETTY B, PHONE #: 503-620-6859
CONTRACTOR: A -TEMP HEATING & COOLING PHONE #: 503- 650 -9602
Inspection Request Scheduled For: Date: 813 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 012659 -01 503-620 -6859 Y
Corrections /Comments /Instructions:
JP ' 1.4 M AG n ke., L, -46G s S 4S6 3 7-- -,. ed
i -, i 1 �. vti /-7
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: f - Phone #: (503) 718-